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KENDAL SIMEON BROWN LCAS
NPI 1356900898
Counselor - Addiction (Substance Use Disorder) in Winston Salem, NC

Active since June 09, 2019
4830 TUTELO TRL, WINSTON SALEM, NC 27127(540) 629-3308 Get Directions Write a Review

NPPES record last updated: June 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kendal Simeon Brown Lcas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDAL SIMEON BROWN LCAS (NPI 1356900898) is an individual addiction (substance use disorder) provider in Winston Salem, North Carolina, licensed in North Carolina (LCAS-25015) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1356900898
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKENDAL SIMEON BROWNCredential: LCAS
Location Address4830 TUTELO TRLWinston Salem, NC 27127-9419
Mailing Address4830 Tutelo TrlWinston Salem, NC 27127-9419 · (540) 629-3308
Phone(540) 629-3308
Sole ProprietorYes
Enumeration DateJune 9, 2019
✔ NPI 1356900898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · LCAS-25015
4830 TUTELO TRL, Winston Salem, NC 27127
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Other Identifiers 1

MedicaidLCAC-25015NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendal Brown's NPI number?

The NPI number for Kendal Brown is 1356900898. It was assigned to this individual provider in the NPPES registry on June 9, 2019.

Where is Kendal Brown located?

Kendal Brown practices at 4830 Tutelo Trl, Winston Salem, NC 27127. The listed phone number is (540) 629-3308.

What is Kendal Brown's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kendal Brown was last updated on June 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.